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A nurse is teaching a client who is preoperative for a neobladder urinary diversion.
Which of the following statements should the nurse make?

A.

You will have an internal pouch to store your urine.

B.

You will not be able to control your urination.

C.

You will have a stoma that is located in your abdomen.

D.

You will wear an external collection bag to drain your urine.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Neobladder urinary diversion involves creating an internal reservoir or pouch from a segment of the intestine to store urine. This new bladder is then connected to the urethra,

enabling the client to void through the urethra. This method closely mimics natural urination, allowing the client to have some control over urination.

 

Choice B rationale

This is incorrect because a neobladder is designed to allow the client to control urination. While there might be a learning curve for the client to adapt to the new bladder, the ultimate

goal is to achieve continence.

 

Choice C rationale

This describes an ileal conduit, another type of urinary diversion, where a stoma is created on the abdomen for urine to pass into an external bag. The neobladder does not involve a

stoma for urination.

 

Choice D rationale

This is incorrect as it pertains to an ileal conduit or urostomy. Clients with a neobladder do not require an external collection bag since urine is stored internally in the constructed

bladder and can be passed through the urethra. .


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Returning the opened medication to the medication cart is inappropriate because once a medication is opened and refused by a client, it must be disposed of properly. This action helps maintain safety and prevents contamination.

Choice B rationale

Reporting the incident to the provider is not necessary in this context as the refusal to take medication can be managed by the nurse by following the facility's protocol.

Choice C rationale

Filling out an incident report is required because the client's refusal to take the medication is considered a significant event. Incident reports are used to document and analyze such events to improve patient care and safety.

Choice D rationale

Notifying the facility's ethics committee is unnecessary for a medication refusal incident, as it does not involve an ethical dilemma requiring their intervention.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Anticholinergics/antispasmodics can cause constipation by reducing the muscle contractions of the gastrointestinal tract, leading to slower movement of contents and resulting in constipation.

Choice B rationale

Opioid narcotics cause constipation by binding to opioid receptors in the gastrointestinal tract, which decreases intestinal motility and inhibits the secretion of fluids, leading to hard and dry stools.

Choice C rationale

Iron supplements can cause constipation as a common side effect due to their effect on the gastrointestinal tract. They can make stools harder and more difficult to pass.

Choice D rationale

Magnesium-containing antacids typically do not cause constipation. In fact, they are more likely to have a laxative effect due to the presence of magnesium, which can increase water in the intestines and soften stools.

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